Individual
BRADLEY EUGENE RAUSCH
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
6900 ALDEN DR, FE WARREN AFB, WY 82005-3906
(307) 773-1849
(307) 773-3399
Mailing address
6900 ALDEN DR, FE WARREN AFB, WY 82005-3906
(307) 773-1849
(307) 773-3399
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
G10000969
DE
Other
Enumeration date
09/20/2005
Last updated
07/08/2007
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